| NPI | 1811552433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO 1705) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: WI 231484-30) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-12-27 |